Harty's Endodontics in Clinical Practice

1 Introduction & overview

Summary

Introduction

Modern endodontics

Scope of endodontics

Role of microorganisms

Tissue response to root canal infection

Quality assurance

Recent developments

Learning outcomes

References

2 General and systemic aspects of endodontics

Summary

Introduction

Differential diagnosis of dental pain

Maxillary sinus

Systemic disease and endodontics

Use of antibiotics in endodontics

Control of pain and anxiety

British National Formulary

Learning outcomes

References

3 Diagnosis

Summary

Introduction

History

Examination

Investigations

Differential diagnosis

Restorability

Treatment options

Specific endodontic treatment options

Learning outcomes

References

4 Pulp space anatomy & access cavities

Summary

Introduction

Nomenclature

Accessory and lateral canals

Location of apical foramina

Variations in pulp space anatomy

Effects of irritation dentine on pulp space

Pulp space anatomy and access cavities

Pulp space anatomy of primary teeth

Apical closure

Learning outcomes

References

5 Maintaining dental pulp vitality

Summary

Introduction

Pulp-dentine complex

Pulp response to irritants

Pulpal irritants

Management of deep caries

Management of pulp exposure

Regenerative developments

Pulp response and maintaining pulp vitality

Learning outcomes

References

6 Instrumentation in endodontics

Summary

Introduction

Basic instrument pack

Rubber dam

Instruments for access cavity preparation

Instruments for root canal preparation

Devices to determine working length

Irrigant delivery devices

Instruments for retrieving broken instruments and posts

Instruments for filling root canals

Storage and sterilization of endodontic instruments

Loupes, fibre-optic lights and operating microscopes

Learning outcomes

References

7 Preparation of the root canal system

Summary

Introduction

Gaining access to the root canals

Working length determination

Root canal irrigation

Instrumentation techniques

Controversies in root canal cleaning and shaping

Learning outcomes

References

8 Intracanal medication

Summary

Introduction

History

Rationale and overview of applications

Microbiology of endodontic infections

Antimicrobial agents

Resistance of oral microbes to medicaments

Concept of predictable disinfection in endodontics

Induction of hard tissue formation

Pain of endodontic origin

Exudation and bleeding

Root resorption

Tissue distribution of medicaments

Tissue toxicity and biological considerations

Suggested clinical procedures

Learning outcomes

References

9 Root canal filling

Summary

Introduction

Canal anatomy

Access and canal preparation

Criteria for filling

Materials used to fill root canals

Sealers

Smear layer

Gutta-percha

Other methods of root canal filling

Coronal restoration

Follow-up

Treatment outcome

Learning outcomes

References

10 Surgical endodontics

Summary

Introduction

Treatment choices

Indications for periradicular surgery

Preoperative assessment

Surgical kit

Surgical technique

Periradicular surgery of particular teeth

Repair of perforation

Replantation/transplantation

Regenerative procedures

Treatment outcome - aetiology and evaluation

Retreatment of surgical procedures

Learning outcomes

References

11 Endodontics in primary teeth

Summary

Introduction

Treatment of primary teeth

Learning outcomes

References

12 Endodontic aspects of traumatic injuries

Summary

Introduction

History, examination and immediate management

Types of injury

Effects of trauma on the dental tissues

Management of primary teeth

Management of permanent teeth

Root canal treatment of immature teeth

Avoidance of cervical root fracture

Surgical treatment of immature teeth

Revascularisation treatment of immature teeth

Regenerative treatment of immature teeth

Auto-transplantation of an immature premolar into the incisor space

Complications

Orthodontic treatment

Learning outcomes

References

13 Marginal periodontitis & the dental pulp

Summary

Anatomical considerations

Effect of inflamed pulp on the periodontium

Effect of marginal periodontitis on the pulp

Classification

Complications due to radicular anomalies

Alternatives to implants

Learning outcomes

References

14 Problems in endodontic treatment

Summary

Emergency treatment

Failure of anaesthesia in acute inflammation

Problems with preparation of the root canal system

Problems with filling of the root canal system

Learning outcomes

References

15 Restoration of endodontically treated teeth

Summary

Introduction

Effects of endodontic treatment on the tooth

Survival of the endodontically treated tooth

Timing the restorative procedure

Restoration choice

Posts

Learning outcomes

References